Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 1975
Also: INTERNAL MEDICINE
NPI: 1023042611
Practice Locations (1)
NEW YORK SOCIETY FOR THE RELIEF OF THE RUPTURED AND CRIPPLED MAINTAINI
535 E 70TH ST
NEW YORK, NY 100214823
2126061224
Source: CMS National Downloadable File, September 2026.